PREVALENCE AND DETERMINANTS OF SURGICAL SITE INFECTIONS AT TERTIARY CARE HOSPITAL: A CROSS SECTIONAL STUDY.

Dr Pooja T Bamnote, Dr Rajesh S Ovhal, Dr. Sandeep L Nilekar

Abstract


Background: Despite the technical advances in infection control and surgical practices, SSI still continue to be major
problem, even in hospitals with most modern facilities. Post-operative wound infections are responsible for the
increasing cost, morbidity and mortality related to surgeries accounting for 14-16% cases. Data related to surgical site infection is useful for
hospitals and national health care planners in setting programme priorities, monitoring effects of preventive actions and in setting goals for
infection control efforts. Objective: This study was conducted with the aim of evaluating the rate of surgical site infection in the hospital and
various factors contributing to infection. Materials And Method: A hospital based cross sectional study was conducted in department of
Microbiology at tertiary care hospital over a period of 2 years on patients who had undergone surgery. Results: The overall incidence of SSI was
6.91%. There was an increase in percentage of SSI as age advanced, highest in more than 60 years age groups (11.76%). There was an increase in
percentage of infection with longer preoperative hospitalization from 5.29 % in the patients hospitalized for up to 5 days to 12.67% in the patients
hospitalized for more than 11 days. There was an increase in percentage of SSI with longer durations of surgery, from 3.43% in surgeries which
took less than 60 minutes to 18.36% in surgeries which took more than 2 hours. Conclusion: Reducing the pre-operative stay and duration of
surgery to minimum through adequate training of the staff, proper intra-operative infection control measures and feedback of appropriate data to
surgeons regarding SSI would be desirable to reduce the surgical site infection rate. A surveillance programme for SSI need to be applied by the
hospital followed by auditing the infection rate on a regular basis.


Keywords


Surgical site infection, pre hospitalization, duration of surgery

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References


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